| Full text | |
| Author(s): |
Ferreira, Rafael
[1]
;
Michel, Raphaella Coelho
[1]
;
Aguiar Greghi, Sebastiao Luiz
[1]
;
Rubo de Resende, Maria Lucia
[1]
;
Passanezi Sant'Ana, Adriana Campos
[1]
;
Damante, Carla Andreotti
[1]
;
Ragghianti Zangrando, Mariana Schutzer
[1]
Total Authors: 7
|
| Affiliation: | [1] Univ Sao Paulo, Bauru Sch Dent, Dept Prosthodont, Div Periodont, Bauru, SP - Brazil
Total Affiliations: 1
|
| Document type: | Journal article |
| Source: | PLoS One; v. 11, n. 6 JUN 29 2016. |
| Web of Science Citations: | 4 |
| Abstract | |
The aim of this systematic literature review was to evaluate which type of periodontal preventive and therapeutic approaches presents superior outcomes in patients with Down syndrome (DS). Studies reporting different methods of periodontal care from DS patients were considered eligible. Included clinical studies should indicate at least two periodontal parameters in different periods of assessment. Screening of the articles, data extraction and quality assessment were conducted independently and in duplicate. Electronic search according to the PICO search, with both Key-words and MESH terms were conducted in MEDLINE, EMBASE and CENTRAL databases until March 2016. Manual search was conducted in four journals, namely Journal of Periodontology, Journal of Clinical Periodontology, Journal of Periodontal Research and Special Care in Dentistry and their electronic databases were searched. Electronic and manual search resulted in 763 papers, and of them 744 were excluded after title/abstract assessment. The full text of 19 potentially eligible publications was screened and 9 studies met inclusion criteria. The results demonstrated the importance to introduce youngest DS patients in preventive programs, as well as participation of parents, caregivers or institutional attendants in supervising/performing oral hygiene. In studies with higher frequency of attendance, all age groups presented superior preventive and therapeutic results, irrespective of the therapeutic approach used (surgical/nonsurgical/periodontal care program). The important factors for reducing periodontal parameters were the frequency of the appointments and association with chlorhexidine/plaque disclosing agents as adjuvant treatment. This systematic review demonstrated that early introduction in periodontal care, participation of parents/caregivers/institutional attendants, frequency of attendance and association with chemical adjuvants (independently of the periodontal treatment adopted) seems to improve periodontal outcomes in preventive and periodontal treatment of DS patients. (AU) | |
| FAPESP's process: | 13/05382-9 - Antimicrobial photodynamic therapy for treatment of periodontal disease in patients with Down Syndrome |
| Grantee: | Rafael Ferreira |
| Support Opportunities: | Scholarships in Brazil - Master |
| FAPESP's process: | 13/16607-1 - Photodynamic therapy for periodontal treatment in Down Syndrome patients |
| Grantee: | Carla Andreotti Damante |
| Support Opportunities: | Regular Research Grants |